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These visits should include medication reconciliation, review of blood glucose logs (for diabetes patients), assessment of adverse effects, and laboratory monitoring as appropriate (A1c, thyroid function tests, INR for anticoagulated patients)

Signs and symptoms of low blood sugar may include: dizziness or lightheadedness, blurred vision, anxiety, irritability or mood changes, sweating, slurred speech, hunger, confusion or drowsiness, shakiness, weakness, headache, fast heartbeat, and feeling jittery dehydration leading to kidney problems

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Above a certain point, additional B6 provides no further benefit and begins to carry toxicity risk

Typically, a more significant decrease in appetite is seen between weeks four and eight, especially as the dose reaches the optimal maintenance level